Judicial Council Nomination Form

Nominations are solicited for the following positions on the Judicial Council:

Candidate Information

Candidate's name:

Title:

Court/Agency:

Official court/agency mailing address:

City:

County:

Zip:

Phone:

Fax:

E-Mail:

Current assignment:

Briefly describe the contribution the nominee can make to the work of the council:

Bio (Please paste resume or curriculum vitae here. The nomination will be considered incomplete without it.):


Nominator Information

Self Nomination (Nominator information not required if checked)

Please check here to confirm that the candidate has been contacted and is willing to serve if appointed.

Nominator's name:

Title:

Court/Agency:

Official court/agency mailing address:

City:

County:

Zip:

Phone:

E-Mail: